MOCK TEST 4
Topic 1 — Professional Values
1, Nurses who seek to enhance their cultural-competency skills and apply sensitivity toward
others are committed to which professional nursing value?
A. Autonomy
B. Strong commitment to service
C. Belief in the dignity and worth of each person
D. Commitment to education
2. When trying to make a responsible ethical decision, what should the nurse understand as
the basis for ethical reasoning?
A. Ethical principles & code
B. The nurse's experience
C. The nurse’s emotional feelings
D. The policies & practices of the institution
3. A fully alert & competent 89 year old client is in end stage liver disease. The client says ,
“i'm ready to die,” & refuses to take food or fluids . The family urges the client to allow
the nurse to insert a feeding tube. What is the nurse’s moral responsibility?
‘A. The nurse should obtain an order for a feeding tube
B. The nurse should encourage the client to reconsider the decision
C. The nurse should honor client’s decision
D. The nurse must consider that the hospital can be sued if she honors the client's,
request
4, Amentally competent client with end stage liver disease continues to consume alcohol
after being informed of the consequences of this action. What action best illustrates the
nurse’s role as a client advocate?
A. Asking the spouse to take all the alcohol out of the house
B. Accepting the patient's choice & not intervening
CC. Reminding the client that the action may be an end-of life decision
D. Refusing to care for the client because of the client’s noncompliance
5, Anurse demonstrates patient advocacy by becoming involved in whi
activities?
‘A. Taking a public stand on quality issues and educating the public on "public
interest" issues
B. Teaching in a school of nursing to help decrease the nursing shortage
C. Engaging in nursing research to justify nursing care delivery
D. Supporting the status quo when changes are pending
of the following
6. The nurse is functioning as a patient advocate. Which of the following would be the first
step the nurse should take when functioning in this role?A. Ensure that the nursing process is complete and includes active participation by the
patient and family
B. Become creative in meeting patient needs.
C. Empower the patient by providing needed information and support
D. Help the patient understand the need for preventive health care,
7. A famous actress has had plastic surgery. The media contacts the nurse on the unit and
asks for information about the surgery. The nurse knows:
A. Any information released will bring publicity to the hospital.
Nurses are obligated to respect client's privacy and confidentiality.
It does not matter what is disclosed, the media will find out any way.
According to beneficence, the nurse has an obligation to implement actions
that will benefit clients.
go
8 Essence of Care benchmarking is a process of
A. Comparing, sharing and developing practice in order to achieve and sustain best
practice
B. Assess clinical area against best practice
. Review achievement towards best practice
D. Consultation and patient involvement
9. An adult is offered the opportunity to participate in research on a new therapy. The
researcher asks the nurse to obtain the patient’s consent. What is most appropriate for
the nurse to take?
‘A. Be sure the patient understands the project before signing the consent form
B. Read the consent form to the patient & give him or her an opportunity to ask
questions
C. Refuse to be the one to obtain the patient's consent
D. Give the form to the patient & tell him or her to read it carefully before
signing it
10. An adult has just returned to the unit from surgery. The nurse transferred him to his bed
but did not put up the side rails. The client fell and was injured. What kind of liability
does the nurse have?
A, None
B. Negligence
C. Intentional tort
D. Assault & battery411. Apatient is admitted to the ward with symptoms of acute diarrhea, What should your
initial management be?
‘A. Assessment, protective isolation , universal precautions
B. Assessment , source isolation , antibiotic therapy
C. Assessment, protective isolation , antimotility medication
D. Assessment , source isolation , universal precautions
12. Your patient has undergone a formation of a loop colostomy. What important
considerations should be borne in mind when selecting an appropriate stoma appliance
for your patient?
A. pexterity of the patient, consistency of effluent , type of stoma
B. Patient preference , type of stoma , consistence of effluent , state of peristomal
skin, dexterity of patient
C. Patient preference , lifestyle , position of stoma , consistency of effluent, state
of peristomal skin , dexterity of patient , type of stoma
D. cognitive ability, lifestyle, patient dexterity, position of stoma, state of
8
peristomal skin, type of stoma, consistency of effluent, patient preference.
13. What are the principles of gaining informed consent prior to plan surgery?
‘A. Gaining permission for an imminent procedure by providing information in
medical terms, ensuring a patient knows the potential risks and intended
benefits
B. Gaining permission from a patient who is competent to give it, by providing
information, both verbally and with written material, relating to the planned
procedure, for them to read on the day of planned surgery
C. Gaining permission from a patient who is competent to give it, by informing
them about the procedure and highlighting risks if the procedure is not carried
out
D. Gaining permission from a patient who is competent to give it, by providing
information in understandable terms prior to surgery, allowing time for
answering questions, and inviting voluntary participation
14, When should adult patients in acute hospital settings have observations taken?
‘A. When they are admitted or initially assessed. A plan should be clearly
documented which identifies which observations should be taken & how
frequently subsequent observations should be done
B, When they are admitted & then once daily unless they deteriorate
C. Asindicated by the doctor
D. Temperature should be taken daily , respirations at night , pulse & blood
pressure 4 hourly15. A patient is agitated and is unable to settle, she is also finding it difficult to sleep,
reporting that she is in pain. What would you do at this point?
‘A. Ask her to score her pain, describe its intensity, duration, describe its
intensity, duration, the site, any relieving measures and what makes it worse,
looking for non-verbal clues, so you can determine the appropriate method
of pain management
Give her some sedatives so she goes to sleep
C. Calculate a pain score, suggest that she takes deep breaths, reposition her
pillows, return in Smin to gain a comparative pain score
D. Give her any analgesia she is due. if she has not any, contact the doctor to
get some prescribed. Also give her a warm milky drink and reposition her
pillows. Document your action
2
16. A patient in your care knocks their head on the bedside locker when reaching down to
pick up something they have dropped. What do you do?
A. Let the patient’s relatives know so that they don’t make a complaint & write an
incident report for yourself so you remember the details in case there are
problems in the future
B. Help the patient to a safe comfortable position, commence neurological
observations & ask the patient’s doctor to come & review them, checking the
injury isn’t serious. when this has taken place , write up what happened & any
future care in the nursing notes
C. Discuss the incident with the nurse in charge , & contact your union
representative in case you get into trouble
D. Help the patient to a safe comfortable position, take a set of observations &
report the incident to the nurse in charge who may call a doctor. Complete an
incident form, At an appropriate time , discuss the incident with the patient & if
they wish , their relatives
17. Which of the following client should the nurse deal with first
‘A. Aclient who needs her dressing changed
B. Aclient who needs to be suctioned
C. Aclient who needs to be medicated for incisional pain
D. Aclient who is incontinent & needs to be cleaned
18, Aclient on your medical surgical unit has a cousin who is a physician & wants to see the
chart. which of the following Is the best response for the nurse to take
‘A. Hand the cousin the client chart to review
B. Ask the client to sign an authorization & have someone review the chart
with cousin
C. Call the attending phycisian 2 hava tha dactar sneak with the cousin
D. Tell the cousin that the request cannot be granted19, Which professional organizations are responsible for establishing the code?
A. NHS
8B. NMC
C._ American Nurses Association, National League of Nursing, and American
‘Association of Nurse Executives
D. State Boards of Nursing, state and national organizations, and specialty
organizations
20. The code is concerned about focusing on which of the following criteria
A- Clinical expertise
B— Conduct, behavior, ethics & professionalism
C - Hospital poli
D—Disciplinary actions
Topic 2 - communication & interpersonal skills
21. What factors are essential in demonstrating supportive communication to patients?
‘A. Listening, clarifying the concerns & feelings of the patient using open questions
B. Listening , clarifying the physical needs of the patient using open questions
C._ Listening , clarifying the physical needs of the patient using open questions
D. Listening, reflecting back the patient's concerns & providing a solution
22. Which behaviors will encourage a patient to talk about their concerns?
A. Giving reassurance & telling them not to worry
B. Asking the patient about their family & friends
C. Tell the patient you are interested in what is concerning them & that you are
available to listen
D. Tell the patient you are interested in what is concerning them if they tell you ,
they will feel better
23. What is the difference between denial & collusion?
‘A. Denial is when a healthcare professional refuses to tell a patient their diagnosis
for the protection of the patient whereas collusion is when healthcare
professionals & the patient agree on the information to be told to relatives &
friends
B. Denial is when a patient refuses treatment & collusion is when a patient agrees
toit
C. Denial is a coping mechanism used by an individual with the intention of
protecting themselves from painful or distressing information whereas collusion
is the withholding of information from the patient with the intention of
‘protecting them’
D. Denial is a normal acceptable response by a patient to a life-threatening
diagnosis whereas collusion is not
24. if you were explaining anxiety to a patient, what would be the main points to include?
'A. Signs of anxiety include behaviours such as muscle tension. palpitations ,a dry
mouth , fast shallow breathing , dizziness & an increased need to urinate or
defaecateB. Anxiety has three aspects : physical - bodily sensations related to flight & fight
response , behavioural - such as avoiding the situation , & cognitive ( thinking ) ~
such as imagining the worst
C. Anxiety is all in the mind, if they learn to think differently , it will go away
D. Anxiety has three aspects: physical - such as running away , behavioural ~ such
as imagining the worse ( catastrophizing) , & cognitive ( thinking) ~ such as
needing to urinate.
25. What are the principles of communicating with a patient with del
‘A. Use short statements & closed questions in a well -lit, quiet , familiar
environment
B. Use short statements & open questions ina well it, quiet , familiar environment
C. Write down all questions for the patient to refer back to
D. Communicate only through the family using short statements & closed questions
m?
26. Which of the following statements by a nurse would indicate an understanding of
intrapersonal communications?
‘A. “Intrapersonal communications occur between two or more people."
B. "Intrapersonal communications occurs within a person"
C. “Interpersonal communications is the same as intrapersonal communications."
D. "Nurses should avoid using intrapersonal communications."
27. Which therapeutic communication technique is being used in this nurse-client
interaction?
Client: "When I get angry, | get into a fistfight with my wife or I take it out on the
kids."
Nurse: “I notice that you are smiling as you talk about this physical violence.”
A. Encouraging comparison
B. Exploring
C. Formulating a plan of action
D. Making observations
28. Which nursing statement is a good example of the therapeutic communication
technique of giving recognition?
‘A."You did not attend group today. Can we talk about that?”
8. "I'l sit with you until itis time for your family session."
C."Inotice you are wearing a new dress and you have washed your hair."
D. "I'm happy that you are now taking your medications. They will really help."
29. The nurse asks a newly admitted client, "What can we do to help you?" What is the
purpose of this therapeutic communication technique?
‘A.To reframe the client's thoughts about mental health treatment
B. To put the client at easeC. To explore a subject, idea, experience, or relationship
D. To communicate that the nurse is listening to the conversation
30. Which nursing statement is a goad example of the therapeutic communication
technique of focusing?
‘A. "Describe one of the best things that happened to you this week.”
B. “I'm having a difficult time understanding what you mean.”
C. "Your counseling session is in 30 minutes. Ill stay with you until then."
1D. "You mentioned your relationship with your father. Let's discuss that further."
31. Which nursing response is an example of the nontherapeutic communication block
of requesting an explanation?
A. "Can you tell me why you said that?"
"Keep your chin up. I'll explain the procedure to you.”
C. "There is always an explanation for both good and bad behaviors."
2 "Are you not understanding the explanation | provided?"
C
32. Which therapeutic communication technique should the nurse use when
communicating with a client who is experiencing auditory hallucinations?
A." My sister has the same diagnosis as you and she also hears voices."
B. "I understand that the voices seem real to you, but | do not hear any voices."
C. "Why not turn up the radio so that the voices are muted."
D."I wouldn't worry about these voices. The medication will make them disappear."
33, Which nursing statement is a good example of the therapeutic communication
technique of offering self?
A. "Lthink it would be great if you talked about that problem during our next group
session."
B. "Would you like me to accompany you to your electroconvulsive therapy.
treatment?"
C."Inotice that you are offering help to other peers in the milieu."
D."After discharge, would you like to meet me for lunch to review your outpatient
progress?"
34, Ona psychiatric unit, the preferred milieu environment is BEST described as:
‘A. Providing an environment that is safe for the patient to express. feelings.
B. Fostering a sense of well-being and independence in the patient.
C. Providing an environment that will support the patient in his or her therapeutic needs.
D. Fostering a therapeutic social, cultural, and physical environment.35. Anew mother is admitted to the acute psychiatric unit with severe postpartum depression.
She is tearful and states, “I don’t know why this happened to mel | was so excited for my baby
to come, but now | don’t know!” Which of the following responses by the nurse is MOST
therapeutic?
‘A “Having a new baby is stressful, and the tiredness and different hormone levels don’t help. It
happens to many new mothers and is very treatable.”
B, “Maybe you weren't ready for a child after all.”
C. “What happened once you brought the baby home? Did you feel nervous?”
D. “Has your husband been helping you with the housework at all?”
36. A patient with antisocial personality disorder enters the private meeting room of a nursing
nit as a nurse is meeting with a different patient. Which of the following statements by the
nurse is BEST?
A. “I'm sorry, but HIPPA says that you can’t be here. Do you mind leaving?”
B. “You may sit with us as long as you are quiet.”
¢.“Ineed you to leave us alone.”
D. “Please leave and | will speak with you when Iam done.”
37. The wife of a client with PTSD (post traumatic stress disorder) communicates to the nurse
that she is having trouble dealing with her husband’ condition at home. Which of the following
suggestions made by the nurse is CORRECT?
A. “Discourage your husband from exercising, as this will worsen his condition.”
3, “Encourage your husband to avoid regular contact with outside family members.”
C. “Do not touch or speak to your husband during an active flashback. Wait until it is finished to
give him support.”
D. “Keep your cupboards free of high-sugar and high-fat foods.”
38, A patient has just been told by the physician that she has stage ll uterine cancer. The
patient says to the nurse, “I don’t know what to do. How do | tell my husband?” and begins to
cry. Which of the following responses by the nurse is the MOST therapeutic?
‘A. “It seems to be that this is a lot to handle. "ll stay here with you.”
8. “How do you think would be best to tell your husband?”
C. “I think this will all be easier to deal with than you think.”
D. “Why do you think this is happening to you?”
39, Aclient expressed concern regarding the confidentiality of her medical information.
‘The nurse assures the client that the nurse maintains client confidentiality by:
A. Sharing the information with all members of the health care team.
B._ Limiting discussion about clients to the group room and hallways.
C. Summarizing the information the client provides during assessments and
documenting this summary in the chart.
D. Explaining the exact limits of confidentiality in the exchanges between the client
and the nurse.Topic 3
G,
40. When caring for clients with psychiatric diagnoses, the nurse recalls that the
purpose of psychiatric diagnoses or psychiatric labeling is to:
‘A. Identify those individuals in need of more specialized care.
B. Identify those individuals who are at risk for harming others.
C. Enable the client's treatment team to plan appropriate and comprehensive care.
D. Define the nursing care for individuals with similar diagnoses.
= Nursing Practice & Decision Making
41. If you were told by a nurse at handover to take “standard precautions” what would
you expect to be doing?
A. Taking precautions when handling blood & ‘high risk’ body fluids sp that you
don’t pass on any infection to the patient.
B. Wearing gloves, aprons & mask when caring for someone in protective isolation
to protect yourself from infection
C. Asking relatives to wash their hands when visiting patients in the clinical setting
D. Using appropriate hand hygiene , wearing gloves & aprons when necessary
disposing of used sharp instruments safely & providing care in a suitably clean
environment to protect yourself & the patients
42. You are told a patient is in ‘source isolation’. What would you do & why?
A. Isolating a patient so that they don’t catch any infections
B. Nursing an individual who is regarded as being particularly vulnerable to
infection in such a way as to minimize the transmission of potential pathogens to
that person
C. Nurse the patient in isolation , ensure that you wear appropriate personal
protective equipment (PPE) & adhere to strict hand hygiene , for the purpose of
preventing the spread of organisms from that patient to others
D. Nursing a patient who is carrying an infectious agent that may be risk to others in
such a way as to minimize the risk of the infection spreading elsewhere in their
body
43, What would make you suspect that a patient in your care had a urinary tract
infection?
‘A. The doctor has requested a midstream urine specimen
B. The patient has a urinary catheter in situ & the patient's wife states that he
seems more forgetful than usual
C. The patient has spiked a temperature , has a raised white cell count (WCC) , has
new ~onset confusion & the urine in the catheter bag is cloudy
D. The patient has complained of frequency of faecal elimination & hasn’t been
drinking enough
44. You are caring for a patient in isolation with suspected clostridium difficile. What
are the essential key actions to prevent the spread of infection?
A. Regular hand hygiene & the promotion of the infection prevention link nurse
role
How Would you care for a patient with necrotic wound?
Systemic antibiotic therapy and apply a dry dressing
Debride and apply a hydrogel dressing
Debride and apply an antimicrobial dressingApply a negative pressure dressing
49, Anew postsurgical wound is assessed by the nurse and Is found to be hot, tender
and swollen. How could this wound be best described?
‘A. In the inflammation phase of healing
8. Inthe haemostasis phase of haling
C. Inthe reconstructive phase of wound healing
D. Asan infected wound
50. What are the four stages of wound healing in the order they take place?
A. Proliferative phase, inflammatory phase, remodeling phase, maturation phase
B. Haemostasis, inflammation phase, proliferative phase, maturation phase
C. Inflammatory phase, dynamic stage, neutrophil phase, maturation phase
D.
E
Haemostasis, proliferation phase, inflammation phase, remodeling phase
Haemostasis, proliferation phase, inflammation phase, remodeling phase
51. Ifan elderly immobile patient had a “grade 3 pressure sore”, what would be your
management?
A. Hydrocolloid dressing, pressure- relieving mattress, nutritional support
B. Dry dressing, pressure relieving mattress, mobilization
C. Film dressing, mobilization. Positioning, nutritional support
D. Foam dressing, pressure relieving mattress, nutritional support
52. How can risks be reduced in the healthcare setting?
‘A. By adopting a culture of openness & transparency & explor
patient safety incidents.
B. Healthcare will always involve risks so incidents will always occur .we need to
accept this
C. Healthcare professionals should be encouraged to fill in incident forms ; this will
create a culture of “no blame”
D. By setting targets which measure quality
ig the root causes of
53. A patient in your care knocks their head on the bedside locker when reaching down
to pick up something they have dropped. What do you do?
‘A. Let the patient's relatives know so that they don’t make a complaint & write
an incident report for yourself so you remember the details in case there are
problems in the future
B. Help the patient to a safe comfortable position, commence neurological
observations & ask the patient’s doctor to come & review them, checking the
injury isn’t serious. when this has taken place , write up what happened &
any future care in the nursing notes
C. Discuss the incident with the nurse in charge , & contact your union
representative in case you get into troubleD. Help the patient to a safe comfortable position, take a set of observations &
report the incident to the nurse in charge who may call a doctor. Complete
an incident form. At an appropriate time , discuss the incident with the
patient & if they wish , their relatives
54, You are looking after @ 75 year old woman who had an abdominal hysterectomy 2
days ago. What would you do reduce the risk of her developing a deep vein
thrombosis (DVT)?
A. Give regular analgesia to ensure she has adequate pain relief so she can mobilize
as soon as possible, Advise her not to cross her legs
B, Make sure that she is fitted with properly fitting antiembolic stockings & that are
removed daily
C. Ensure that she is wearing antiembolic stockings & that she is prescribed
prophylactic anticoagulation & is doing hourly limb exercises
D. Give adequate analgesia so she can mobilize to the chair with assistance, give
subcutaneous low molecular weight heparin as prescribed. Make sure that she is
‘wearing antiembolic stockings
55. You are looking after an emaciated 80-year old man who has been admitted to your
ward with acute exacerbation of chronic obstructive airways disease (COPD). He is
currently so short of breath that it is difficult for him to mobilize, What are some of
the actions you take to prevent him developing a pressure ulcer?
A. He will be at high risk of developing a pressure ulcer so place him on a pressure
relieving mattress
B. Assess his risk of developing a pressure ulcer with a risk assessment tool. If
indicated, procure an appropriate pressure —relieving mattress for his bed &
cushion for his chair. Reassess the patient's pressure areas at least twice a day &
keep them clean & dry. Review his fluid & nutritional intake & support him to
make changes as indicated.
C._ Assess his risk of developing a pressure ulcer with a risk assessment tool &
reassess every week. Reduce his fluid intake to avoid him becoming incontinent
& the pressure areas becoming damp with urine
D. He is at high risk of developing a pressure ulcer because of his recent acute
illness, poor nutritional intake & reduced mobility. By giving him his prescribed
antibiotic therapy, referring him to the dietician & physiotherapist, the risk will
be reduced,
56, You are looking after a 76-year old woman who has had a number of recent falls at
home. What would you do to try & ensure her safety whilst she is in hospital?
A. Refer her to the physiotherapist & provide her with lots of reassurance as she
has lost a lot of confidence recently
B. Make sure that the bed area is free of clutter. Place the patient in a bed near the
nurse's station so that you can keep an eye on her. Put her on an hourly toiletingchart, obtain lying & standing blood pressures as postural hypotension may be
contributing to her falls
C. Make sure that the bed area is free of clutter & that the patient can reach
everything she needs, including the call bell. Check regularly to see if the patient
needs assistance mobilizing to the toilet. ensure that she has properly fitting,
slippers & appropriate walking aids
D. Refer her to the community falls team who will asses her when she gets home
57. The client reports nausea and constipation. Which of the following would be
the priority nursing action?
A. Collect a stool sample
B, Complete an abdominal assessment
C. Administer an anti-nausea medication
D. Notify the physician
58. The nurse suspects that a client is withholding health-related information out
of fear of discovery and possible legal problems. The nurse formulates nursing
diagnoses for the client carefully, being concerned about a diagnostic error
resulting from which of the following?
A. Incomplete data
B. Generalize from experience
C. Identifying with the client
D. Lack of clinical experience
59. Which of the following descriptors is most appropriate to use when stating the
“problem” part of a nursing diagnosis?
A. Grimacing
B. Anxiety
C. Oxygenation saturation 93%
D. Output 500 mL in 8 hours
60. The rehabilitation nurse wishes to make the following entry into a client's plan
of care: "Client will reestablish a pattern of daily bowel movements without
straining within two months." The nurse would write this statement under
which section of the plan of care?
A. Nursing diagnosis/problem list
B. Nursing orders
C. Short-term goals
D. Long-term goalsTopic 4- Leadership, Management & Team working
61. The nurse has just been promoted to unit manager. Which advice, offered by a
senior unit manager, will help this nurse become inspirational and motivational
in this new role?
A. “If you make a mistake with your staff, admit it, apologize, and correct the
error if possible."
B. "Don't be too soft on the staff. If they make a mistake, be certain to
reprimand them immediately."
C. "Give your best nurses extra attention and rewards for their help."
D. "Never gets into a disagreement with a staff member.
62. The famous 14
A. Elton Mayo
B. Henri Fayol
C. Adam smith
D. James Watt
63. The nursing staff communicates that the new manager has a focus on the
"bottom line," and little concern for the quality of care. What is likely true of,
this nurse manager?
A. The manager is looking at the total care picture.
B. The manager is communicating the importance of a caring environment.
C. The manager understands the organization's values and how they mesh
with the manager's values.
D. The manager is unwilling to listen to staff concerns unless they have an
pact on costs.
ples of Management was first defined by
64. Avery young nurse has been promoted to nurse manager of an inpatient
surgical unit. The nurse is concerned that older nurses may not respect the
manager's authority because of the age difference. How can this nurse
manager best exercise authority?
A. Use critical thinking to solve problems on the unit.
B, Give assignments clearly, taking staff expertise into consideration.
C. Understand complex health care environments.
D. Maintain an autocratic approach to influence results.
65. What statement, made in the morning shift report, would help an effective
manager develop trust on the nursing unit?
A." know I told you that you could have the weekend off, but | really need you
to work."
B. “The others work many extra shifts, why can't you?”
C."I'm sorry, but | do not have a nurse to spare today to help on your unit. 1
cannot make a change now, but we should talk further about schedules and
needs.”66.
67.
oe
68,
69.
D."Ican't believe you need help with such a simple task. Didn't you learn that
in school?"
The nurse executive of a health care organization wishes to prepare and
develop nurse managers for several new units that the organization will open
next year. What should be the primary goal for this work?
‘A. Focus on rewarding current staff for doing a good job with their assigned
tasks by selecting them for promotion.
8. Prepare these managers so that they will focus on maintaining standards of
care.
C. Prepare these managers to oversee the entire health care organization.
D. Prepare these managers to interact with hospital administration.
What are the key competencies and features for effective collaboration?
A. Effective communication skills, mutual respect, constructive feedback, and
conflict management.
High level of trust and honesty, giving and receiving feedback, and decision making,
Mutual respect and open communication, critical feedback, cooperation, and
willingness to share ideas and decisions.
Effective communication, cooperation, and decreased competition for scarce
resources.
A registered nurse is a preceptor for 2 new nursing graduate and is describing
critical paths and variance analysis to the new nursing graduate. The registered
nurse instructs the new nursing graduate that a variance analysis is performed
on all clients:
a) continuously
b) daily during hospital
¢) every third day of hospitalization
d) every other day of hospitalization
A nurse manager is planning to implement a change in the method of the
documentation system for the nursing unit. Many problems have occurred as a
result of the present documentation system, and the nurse manager determines
that a change is required. The initial step in the process of change for the nurse
manager is which of the following?
a) plan strategies to implement the change
b) set goals and priorities regarding the change process
¢) identify the inefficiency that needs improvement or correction
4d) identify potential solutions and strategies for the change process70. Ms. Castro is newly-promoted to a patient care manager position. She updates
her knowledge on the theories in management and leadership in order to
become effective in her new role. She learns that some managers have low
concern for services and high concern for staff. Which style of management
refers to this?
a. Organization Man
b. impoverished Management
¢. Country Club Management
d. Team Management
71. What are essential competencies for today’s nurse manager?
A, Avision and goals
8. Communication and teamwork
C. Self- and group awareness
D. Strategic planning and design
72. As a nurse manager achieves a higher management position in the organization,
there is a need for what type of skills?
‘A. Personal and communication skills
8. Communication and technical skills
C. Conceptual and interpersonal skills
D. Visionary and interpersonal skills
73. The characteristics of an effective leader include:
A. attention to detail
B, financial motivation
C. sound problem-solving skills and strong people skills
D. emphasis on consistent job performance
74, What is the most important issue confronting nurse managers using situational
leadership?
A. Leaders can choose one of the four leadership styles when faced with anew
situation.
B. Personality traits and leader's power base influence the leader's choice of style.
C. Value is placed on the accomplishment of tasks and on interpersonal
relationships between leader and group members and among group members.
D. Leadership style differs for a group whose members are at different levels of
maturity.
75. Anurse case manager receives a referral to provide case management services for
an adolescent mother who was recently diagnosed with HIV. Which statement
indicates that the patient understands her illness?76.
7.
7.
79.
can never have sex again, so | guess | will always be a single parent.”
"1 will wear gloves when I'm caring for my baby, because | could infect my baby
with AIDS."
C. “My CD4 count is 200 and my T cells are less than 14%. | need to stay at these
levels by eating and sleeping well and staying healthy."
D. "My CD4 count is 800 and my T cells are greater than 14%. I need to stay at these
levels by eating and sleeping well and staying healthy."
When developing a program offering for patients who are newly diagnosed with
diabetes, a nurse case manager demonstrates an understanding of learning styles
istering a pre- and posttest assessment.
B. Allowing patient's time to voice their opinions.
C. Providing a snack with a low glycemic index.
D. utilizing a variety of educational materials.
There have been several patient complaints that the staff members of the unit
are disorganized and that "no one seems to know what to do or when to do
it." The staff members concur that they don't have a real sense of direction
and guidance from their leader. Which type of leadership is this unit
experiencing?
1. Autocratic.
2. Bureaucratic.
3, Laissez-faire.
4, Authoritarian.
Which strategy could the nurse use to avoid disparity in health care delivery?
A, Recognize the cultural issue related to patient care,
B, Request more health plan options.
€. Care for more patients even if quality suffers.
D. Campaign for fixed nurse-patient ratios.
Which option best illustrates a posi
A. Reshaping current policy.
B. Involvement in the political process.
C. Increase in preventative services.
D. Cost-benefit analysis.
e outcome for managed care?80. The patient is being discharged from the hospital after having a coronary
artery bypass graft (CABG). Which level of the health care system will best
serve the needs of this patient at this point?
A. Primary care.
B. Secondary care.
C. Tertiary care.
health care.
Topic 5- Adult Nursing
81. Dehydration is of particular concern in ill health, If a patient is receiving IV fluid
replacement and is having their fluid balance recorded, which of the following
statements is true of someone said to be in “positive fluid balance”
A. The fluid output has exceeded the input
B. The doctor may consider increasing the IV drip rate
C. The fluid balance chart can be stopped as “positive” means “good”
D. The fluid input has exceeded the output
82, What specifically do you need to monitor to avoid complications & ensure optimal,
nutritional status in patients being enterally fed?
A. Blood glucose levels, full blood count, stoma site and body weight
B, Eye sight, hearing, full blood count, lung function and stoma site
C. Assess swallowing, patient choice, fluid balance, capillary re
D. Daily urinalysis, ECG, Protein levels and arterial pressure
83. A patient needs weighing, as he is due a drug that is calculated on bodyweight. He
experiences a lot of pain on movement so is reluctant to move, particularly stand
up. What would you do?
A. Document clearly in the patient’s notes that a weight cannot be obtained
B. Offer the patient pain relief and either use bed scales or a hoist with scales built
in
C. Discuss the case with your colleagues and agree to guess his body weight until he
agrees to stand and use the chair scales
D. Omit the drugs as it is not safe to give it without this information; inform the
doctor and document your actions
84. If the prescribed volume is taken, which of the following types of feed will provide
all protein, vitamins, minerals and trace elements to meet patient’s nutritional
requirements?
‘A. Protein shakes/supplementsB. Sip feeds
C. Energy drink
D. Mixed fat and glucose polymer solutions/powder
85. A patient has been admitted for nutritional support and started receiving a
hyperosmolar feed yesterday. He presents with diarrhea but no pyrexia. What is
likely to be cause?
The feed
An infection
Food poisoning
Being in hospital
poeP
86. Your patient has a bulky oesophageal tumor and is waiting for surgery. When he
tries to eat, food gets stuck and gives him heart burn. What is the most likely route
that will be chosen to provide him with the nutritional support he needs?
A. Nasogastric tube feeding
B. Feeding via a Percutaneous Endoscopic Gastrostomy(PEG)
C. Feeding via a Radiologically Inserted Gastostomy(RIG)
D. Continue oral
87. What is the best way to prevent who is receiving an enteral feed from aspirating?
A. Lie them flat
B. Sit them at least 45 degree angle
C. Tell them to lie in their side
D. Check their oxygen saturations
88. Which of the following medications are safe to be administered via a naso-gastric
tube?
A. Enteric- coated drugs to minimize the impact of gastric irritation.
B. A cocktail of all medications mixed together, to save time and prevent fluid over
loading the patient
C. Any drugs that can be crushed
D. Drugs that can be absorbed via this route, can be crushed and given diluted or
dissolved in 10-15ml of water
89. Which check do you need to carry out before setting up an enteral feed via
nasogastric tube?
A. That when flushed with red juice, the red juice can be seen when the tube is
aspirated
B. That air cannot be heard rushing into the lungs by doing the WHOOSH TEST
C. That the pH of gastric aspirate is below 5.5 and the measurements on the NG tube
is the same length as the time insertion.
D. That the pH of gastric aspirate is above 6.6 and the measurements on the NG tube
is the same length as the time insertion.90. Monica is going to receive blood transfusion. How frequently should we do her
observation?
‘A. Temperature and Pulse before the blood transfusion begins, then every hour,
and at the end of bag/unit
8. Temperature, pulse, blood pressure and respiration before the blood transfusion
begins, then after 15 min, then as indicated in local guidelines, and finally at the
end of bag/unit.
C. Temperature, pulse, blood pressure and respiration and urinalysis before the
blood transfusion, then at end of bag.
D. Pulse, blood pressure and respiration every hour, and at the end of the bag
91. How do the structures of the human body work together to provide support and
assist in movement?
A. The skeleton provides a structural framework. This is moved by the muscles that
contract or extend and in order to function, cross at least one joint and are
attached to the articulating bones.
B. The muscles provide a structural framework and are moved by bones to which
they are attached by ligaments
C. The skeleton provides a structural framework; this is moved by ligaments that
stretch and contract.
D. The muscles provide a structural framework, moving by contracting or extending,
crossing at least one joint and attached to the articulating bones
‘92. What are the most common effects of inactivity?
‘A. Pulmonary embolism, UTI, & fear of people
B. Deep arterial thrombosis, respiratory infection, fears of movement, loss of
consciousness, de-conditioning of cardiovascular system leading to an increased
risk of angina,
C. Loss of weight, frustration and deep vein thrombosis
D. Social isolation, loss of independence, exacerbation of symptoms, rapid loss of
strength in leg muscles, de-conditioning of cardiovascular system leading to an
increased risk of chest infection and pulmonary embolism.
93. What do you need to consider when helping a patient with shortness of breath sit
out ina chair?
‘A. They should not sit out on a chair; lying flat is the only position for someone with
shortness of breath so that there are no negative effects of gravity putting
pressure in lungs
B. Sitting in a reclining position with legs elevated to reduce the use of postural
muscle oxygen requirements, increasing lung volumes and optimizing perfusion94,
95.
96.
97.
for the best V/Q ratio. The patient should also be kept in an environment that is,
quiet so they don’t expend any unnecessary energy
¢. The patient needs to be able to sit in a forward leaning position supported by
pillows, They may also need access to a nebulizer and humidified oxygen so they
must be in a position where this is accessible without being a risk to others,
D. There are two possible positions, either sitting upright or side lying. Which is
used and is determined by the age of the patient. It is also important to
remember that they will always need a nebulizer and oxygen and the air
temperature must be below20 degree Celsius
Your patient has bronchitis and has difficulty in clearing his chest. What position
would help to maximize the drainage of secretions?
A. Lying flat on his back while using a nebulizer
B. Sitting up leaning on pillows and inhaling humidified oxygen
C. Lying on his side with the area to be drained uppermost after the patient has had
humidified air
D. Standing up in fresh air taking deep breaths
Mrs. Jones has had a cerebral vascular accident, so her left leg is increased in tone,
very stiff and difficult to position comfortably when she is in bed. What would you
do?
A. Give Mrs. Jones analgesia and suggest she sleeps in chair
B. Try to diminish increased tone by avoiding extra stimulation by ensuring her foot
does not come into contact with the end of the bed; supporting with a pillow,
her left leg in side lying and keeping the knee flexed
C. Give Mrs. Jone diazepam and tilt the bed
D. Suggest a warm bath before she lies on the bed. Then use pillows to support the
stiff limb
When should adult patients in acute hospital settings have observations taken?
A. When they are admitted or initially assessed. A plan should be clearly
documented which identifies which observations should be taken & how
frequently subsequent observations should be done
B. When they are admitted & then once daily unless they deteriorate
As indicated by the doctor
D. Temperature should be taken daily , respirations at night , pulse & blood
pressure 4 hourly
9
‘Why are physiological scoring systems or early warning scoring systems used in
clinical practice?
A. They help the nursing staff to accurately predict patient dependency on a shift
by shift basis
B. The system provides an early accurate predictor of deterioration by identifying
physiological criteria that alert the nursing staff to a patient at riskC. These scoring systems are carried out as part of a national audit so we know how
sick patients are in the united Kingdom
D. They enable nurses to call for assistance from the outreach team or the doctors
via an electronic communication system
98. Why would the intravenous route be used for the administration of medications?
A. Its a useful form of medication for patients who refuse to take tablets because
they don’t want to comply with treatment
B. tis cost effective because there is less waste as patients forget to take oral
medication
C. The intravenous route reduces the risk of infection because the drugs are made
ina sterile environment & kept in aseptic conditions
D. The intravenous route provides an immediate therapeutic effect & gives better
control of the rate of administration as a more precise dose can be calculated so
treatment can be more reliable
99. You have been asked to give Mrs. Patel her Mid-day oral metronidazole. You have
never met her before. What do you need to check on the drug chart before you
administer it?
‘A. Her name & address, the date of the prescription & dose
B. Her name, date of birth , the ward, consultant , the dose & route, & that it is due
at 12.00
C. Her name, date of birth, hospital number, if she has any known allergies, the
prescription for metronidazole: dose, route, time, date & that it is signed by the
doctor, & when it was last given.
D. Her name & address, date of birth, name of ward & consultant, if she has any
known allergies specifically to penicillin that prescription is for metronidazole;
dose, route, time, date & that itis signed by the doctor, when it was last given &
who gave it so you can check with them how she reached.
100. As anewly qualified nurse, what would you do if a patient vomits when taking or
immediately after taking tablets?
‘A. Comfort the patient, check to see if they have vomited the tablets, & ask the
doctor to prescribe something different as these obviously don’t agree with the
patient
B. Check to see if the patient has vomited the tablets & if so, document this on the
prescription chart. If possible, the drugs may be given again after the
administration of antiemetics or when the patient no longer feels nauseous. It
may be necessary to discuss an alternative route of administration with the
doctor
C. Inthe future administer anti-emetics prior to administration of all tablets
D. Discuss with pharmacy the availability of medication in a liquid form or hide the
tablets in food to take the taste away.4101 . What is the preferred position for Abdominal Paracenthesis?
A. Prone
B. Supine with head slightly elevated
C. Supine with knees bent
D. Side-Lying
102 . After lumbar puncture, the patient experiences shock. What is the etiology behind it?
A. Increased ICP.
B. Headache.
C. Side effect of medications.
D. CSF leakage
103 . Proper technique to use walker?.
A. -move 10 feet, take small steps
B. -move 10feet, take large wide steps
C. -move 12feet
D. -transform weight to walker and walk
104. A patient is recovering from surgery has been advanced from a clear liquid diet to a full
liquid diet. The patient is locking forward to the diet change because he has been “bored “
with the clear liquid diet. The nurse should offer which full iquid item to the patient?
A. Black Tea
B. Gelatin
C. Custard
D. Ice pop
105, The nurse is preparing to change the parenteral nutrition (PN) solution bag & tubing -
The patient’s central venous line is located in the right subclavian vein. The nurse
asks the client to take which essential action during the tubing change?
A. Breathe normally
B. Turn the head to the right
C. Exhale slowly & evenly
D. Take a deep breath, hold it ,& bear down
106. A27-year old adult male is admitted for treatment of Crohn’s disease . Which
information is most significant when the nurse assesses his nutritional health?
A. Anthropometric measurements
B, Bleeding gums
C. Dryskin
D. Facial rubor
107. A nurse is advised one hour vital charting of a patient, how frequently it should be
recorded?
A. every one hour
B. whenever the vital signs show deviations from normalC. Every shift
D Every 3 hours
108. You see a man collapsing while you are in a queue. What will you do first as BLS
oo RP
Certified Nurse?
Shout for help
Check for responsiveness
Leave the patient
Start CPR
109. When a patient arrives to the hospital who speaks a different language. Who is
responsible for arranging an interpreter?
\. Doctor
Registered Nurse
Nursing assistant
Management
goeP
110. ACOPD patient is in home care. When you visit the patient, he is dyspnoeic, anxious
and frightened. He is already on 2 liter oxygen with nasal cannula. What will be your
action
Call the emergency service.
Give Oramorph Smg medications as prescribed.
C. Ask the patient to calm down.
Increase the flow of oxygen to § L
p>
9
111. Aclient breathes shallowly and looks upward when listening to the nurse. Which
A.
sensory mode should the nurse plan to use with this client?
Auditory
Kinesthetic
Touch
Visual
pom>
112. An Eight year old girl with learning disabilities is admitted for a minor surgery, she is very
restless and agitated and wants her mother to stay with her, what will you do?
‘A. Advice the mother to stay till she settles.
B. Act according to company policy
C. Tell her you will take care of the child
D. Inform the Doctor
113. While at outside setup what care will you give as a Nurse if you are exposed to a
situation?
Provide care which is at expected levelB. keeping up to professional standards
C. above what is expected
D. Ignoring the situation
114. Anewly diagnosed patient with Cancer says “I hate Cancer, why did God give it to
me”. Which stage of grief process is this?
A. Denial
B. Anger
C. Bargaining
D. Depression
115. A nurse is advised one hour vital charting of a patient, how frequently it should be
recorded?
A. every one hour
B, whenever the
C. Every shift
D Every 3 hours
al signs show deviations from normal
116. Mrs. X is posted for CT scan. Patient is afraid cancer will reveal during her scan. She asks
“vihy is this test”. What will be your response as a nurse?
A, Understand her feelings and tell the patient that it is a normal procedure.
B. Tell her that you will arrange a meeting with doctor after the procedure.
C. Give a health education on cancer prevention
D. Ignore her question and take her for the procedure.
117. What is the purpose of clinical audit?
A. It helps to understand the functioning and effectiveness of nursing activities.
B. helps to understand the outcomes and processes for medical and surgical procedures
C. helps to identify areas of improvement in the system pertaining to Nursing and medical
personnel
D. helps to understand medical outcomes and processes only
118. Inan Emergency department doctor asked you to do the procedure of cannulation
and left the ward, You haven't done it before. What would you do?
A. Doit
B. Ask your colleague to do it
C. Don’t do it as you are not competent or trained for that & write incident report &
Inform the supervisor
D. Complain to the supervisor that doctor left you in middle of the procedure.
119. How to act in an emergency in a health care set up?
A. according to our competence
B. according to situation
C. according to instructionD. according to the patient's condition
120. You are caring for a 17 year old woman who has been admitted with acute
exacerbation of asthma. Her peak flow readings are deteriorating and she is becoming
wheezy. What would you do?
A. Sit her upright, listen to her chest and refer to the chest physiotherapist.
B, Suggest that the patient takes her Ventolin inhaler and continue to monitor the
patient.
C. Undertake a full set of observations to include oxygen saturations and respiratory rate.
Administer humidified oxygen, bronchodilators, corticosteroids and antimicrobial
therapy as prescribed
D. Reassure the patient: you know from reading her notes that stress and anxiety often
trigger her asthma,
121. If your patient is having positive balance. How will you find out dehydration is
balanced
A. Input exceeds output
B. Output exceeds input
C. Optimally hydrated
D. Optimally dehydrated
122. For which of the following modes of transmission is good hand hygiene a key
preventative measure?
A Airborne
B, Direct contact
C. Indirect contact
D. All of the aboveMOCK TEST 2
Topic 1 ~ Professional Values
1. Aregistered Nurse had a very busy day as her patient was sick, got intubated & had
other life saving procedures. She documented all the events & by the end of the shift
recognized that she had documented in other patient's record. What is best response of
the nurse?
A. She should continue documenting in the same file as the medical document cannot
be corrected
B. She should tear the page from the file & start documenting in the correct record
C. She should put a straight cut over her documentation & write as wrong, sign it with
her NMC code, date & time
D. She should write as wrong documentation in a bracket & continue
2. According to NMC, RN must have to update their skills and knowledge throughout their
professional career. On hourly basis, a minimum of how much should an RN possess in 3
years:
25 hrs
35 hrs
55 hrs
45 hrs
goe>
3. Accountability means
A. Responsible
B. Responsive
C. Supporting
D. Confidence
4. How to give respect & dignity to the client?
‘A. Compassion, support & reassurance to the client
8. Communicate effectively with them
C. Behaving ina professional manner
D. Giving advice on health care issues
5. Which of the step is not involved in Tuckman’s group formation theory
A. Forming
B. Storming
C. Norming
D. Accepting
6. What are the principles of gaining informed consent prior to planned surgery?
A. Gaining permission for an imminent procedure by providing information in medical
terms, ensuring a patient knows the potential risks and intended benefits.
B. Gaining permission from a patient who is competent to give it, by providing
information, both verbally and with written material, relating to the planned
procedure, for them to read on the day of planned surgery.eoge
11.
Gaining permission from a patient who is competent to give it, by informing them
about the procedure and highlighting risks if the procedure is not carried out.
Gaining permission from a patient who is competent to give it, by providing
information in understandable terms prior to surgery, allowing time for answering
questions, and inviting voluntary parti
‘An adult has been medicated for her surgery. The operating room (OR) nurse, when
going through the client’s chart, realizes that the consent form has not been signed.
Which of the following is the best action for the nurse to take?
Assume it is emergency surgery & the consent is implied
Get the consent form & have the client sign it
Tell the physician that the consent form is not signed
Have a family member sign the consent form
An antihypertensive medication has been prescribed for a client with HTN. The client
tells the clinic nurse that they would like to take an herbal substance to help lower
their BP. The nurse should take which action?
A. Tell the client that herbal substances are not safe & should never be used
B, Teach the client how to take their BP so that it can be monitored closely
C. Encourage the client to discuss the use of an herbal substance with the health
care provider
D. Tell the client that if they take the herbal substance they will need to have their
BP checked frequently
‘A mentally capable client in a critical condition is supposed to receive blood
transfusion. But client strongly refuses the blood product to be transfused, What
would be the best response of the nurse?
Accept the client's decision and give information on the consequences of his actions.
Let the family decide
Administer the blood product against the patients decision
The doctor will decide
Apolice officer approached the nurses’ station asking for information on a specific
client. The nurse knows that the she can give the necessary information if:
The police shows his identification
The police officer has the right to such information
There is a clear risk of safety and potential harm to the public
The hospital manager authorized to give the information
When communicating with a client who speaks a different language, which best
practice should the nurse implement?
A. Speak loudly & slowlyB. Arrange for an interpreter to translate
C. Speak to the client & family together
D. Stand close to the client & speak loudly
12. The code is the foundation of
A Good nursing & midwifery practice & a key tool in safeguarding the health & well
being of the public
B Dress code
Personal document
D Hospital administration
13. According to the nursing code of ethics, the nurse's first allegiance is to the:
A. Physician.
B. Health care organization.
C. Client and client's family.
D. client only
14. A nurse from Medical-surgical unit is asked to work on the orthopedic unit. The
medical-surgical nurse has no orthopedic nursing experience. Which client should be
assigned to the medical-surgical nurse?
A. Aclient with a cast for a fractured femur & who has numbness & discoloration of the
toes
. Aclient with balanced skeletal traction & who needs assistance with morning care
Aclient who had an above-the-knee amputation yesterday & has a temperature of
101.4F
Adient who had a total hip replacement 2 days ago & needs blood glucose
monitoring
2
15. A nurse preceptor is working with a new nurse and notes that the new nurse is
reluctant to delegate tasks to members of the care team. The nurse preceptor
recognizes that this reluctance most likely is due to
A. pole modeling belraviors of tie preceptor
B. The philosophy of the new nurse's school of nursing
C. The orientation provided to the new nurse
D. Lack of trust in the team members
16. The measurement and documentation of vital signs is expected for clients in a long
term facility. Which staff type would it be a priority to delegate these tasks to?
A. Practical nurse
B. Registered nurseCC. nursing assistant
D. volunteer
17. An RN from the women’s health clinic is temporarily reassigned to a medical-surgical
unit, Which of these client assignments would be most appropriate for this nurse?
A. Anewly diagnosed client with type 2 diabetes mellitus who is learning foot care
B. Aclient from a motor vehicle accident with an external fixation device on the leg
C. A client admitted for a barium swallow after a transient ischemic attack
D. A newly admitted client with a diagnosis of pancreatic cancer
18. The RN delegates the task of taking vital signs of all the clients on the medical-
surgical unit to a nursing assistant. Specific written and verbal instructions are given
to not take a post-mastectomy client's blood pressure on the left arm. Later as the
RN is making rounds, the nurse finds the blood pressure cuff on that client's left
arm. Which of these statements is most immediately accurate?
A. The RN has no accountabi for this situation ‘
B, The RN did not delegate appropriately
C. The nursing assistant is covered by RN's license
D. The nursing assistant is responsible for following instructions
19. A patient on your ward complains that her heart is “racing” & you find that the
pulse is too fast to manually palpate. What would your actions be?
‘A. Shout for help & run to collect the crash trolley
B. Ask the patient to calm down & check her most recent set of bloods & fluid
balance
C. A full set of observations: BP, respiratory rate, oxygen saturation & temperature.
Itis essential to perform a 12 lead ECG. The patient should then be reviewed by
the doctor
D. Check baseline observations & reter to the cardiology team
20. You are looking after a postoperative patient and when carrying out their
observations, you discover that they are tachycardic and anxious, with an increased
respiratory rate. What could be happening? What could you do?
A. The patient is showing symptoms of hypovolemic shock. Investigate
source of fluid loss, administer fluid replacement and get medical
support
B. The patient is demonstrating symptoms of atelectasis. Administer a
nebulizer, refer to physiotherapist for assessment
C._ The patient is demonstrating symptoms of uncontrolled pain.
Administer prescribed analgesia, seek assistance from medical teamD. The patient is demonstrating symptoms of hyperventilation. Offer
reassurance. Administer oxygen
21, When would an orthostatic blood pressure measurement be indicated?
A.
B.
G
D.
If the patient has a recent history of falls
If the patient has a history of dizziness or syncope on changing position
If the patient has a history of hypertension
If the patient has a history of hypotension
22. What should the nurse do when planning nursing care for a client with a different cultural
background?
A.
The nurse should:
allow the family to provide care during the hospital stay so no rituals or customs
are broken
B. identify how these cultural variables affect the health problem
c.
D,
speaks slowly & show pictures to make sure the client always understands
Explain how the client must adapt to hospital routines to be effectively cared for
while in the hospital
23.
24.
25.
. A nurse is preparing to deliver a food tray to a client whose religion is Jewish.
The nurse checks the food on the tray and notes that the food on the tray and
notes that the client has received a roast beef dinner with whole milk as a
beverage. Which action will the nurse take?
A. Deliver the food tray to the client
B. Call the dietary department and ask for a new meal tray
C. Replace the whole milk with fat free milk
D. Ask the dietary department to replace the roast beef with pork
A client is diagnosed with cancer and is told by surgery followed by
chemotherapy will be necessary, the client states to the nurse, “I have read a lot
about complementary therapies. Do you think that I should try it?”. The nurse
responds by making which most appropriate statement?
A. “It is a tendency to view one’s own ways as best”
B, “Youneed to ask your physician about it”
C. “| would try anything that | could if | had cancer”
D. “There are many different forms of complementary therapies, let’s talk
about these therapies”
A nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care. A staff member asks the nurse educator to describe
the concept of acculturation. The most appropriate response in which of the
following?
A. It is subjective perspective of the person’s heritage and sense of belonging to
a groupB. Itis a group of individuals in a society that is culturally distinct and has a
unique identity
C. Itisa process of learning , a different culture to adapt to a new or change in
environment
D. Itis a group that share some of the characteristics of the larger population
group of which it is a part
26. Aclient is brought to the emergency room by the emergency medical services
after being hit by car. The name of the client is not known. The client has
sustained a severe head injury, multiple fractures and is unconscious. An
emergency craniotomy is required, regarding informed consent for the surgical
procedure, which of the following is the best action?
A. Call the police to identify the client and locate the family
B. Obtain a court order for the surgical procedure
C. Ask the emergency medical services team to sign the informed consent
D. Transport the victim to the operating room for surgery
27. According to NMC Standards code and conduct, a registered nurse is excluded
from legal action in which one of these?
A. Fixed penalty for speeding
B. Possessing stock medications
C. Convicted for fraud
D. Convicted for theft
28. As an RN In charge you are worried about a nurse’s act of being very active on
social media site, that it affect the professionalism. Which one of these is the
worst advice you can give her?
Do not reveal your profession of being a Nurse on social site
Do not post any pictures of client’s even if they have given you permission
Do not involve in any conversations with client's or their relatives through a social
site
D. Keep your profile private
ppP
Topic 2 - communication & interpersonal skills
29, You are assisting a doctor who is trying to assess and collect information from a
child who does not seem to understand all that the doctor is telling and is
restless. What will be your best response?
A. Stay quiet and remain with the doctor
B, Interrupt the doctor and ask the child the questions
C. Remain with the doctor and try to gain the confidence of the child and